Individual
MISS AMANDA NICOLE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 BIRCH ST, MORGANTOWN, WV 26505-3418
(304) 293-0872
Mailing address
375 BIRCH ST, P.O. BOX 6116, MORGANTOWN, WV 26505-3418
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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